title: Innominate artery dissection with presentation of sudden right frontal desaturation detected by cerebral oximetry in complicated thoracic aortic aneurysm repair surgery: a case report.
abstract: Cerebral oximetry is a noninvasive bedside monitor for cerebral oxygen saturation (rSO(2)). A patient with a thoracic aneurysm underwent combined surgical and endovascular repair. A sudden decrease in right rSO(2) led to the finding of acute innominate artery dissection. Immediate repair was instituted. Sudden asymmetry of rSO(2) may be a warning sign of underlying pathology.
authors.affiliation: Department of Anesthesiology, Taipei Veterans General Hospital and National Yang-Ming University, Taipei 112, Taiwan, ROC.
authors.forename: Shen-Chih
authors.initials: SC
authors.lastname: Wang
authors.forename: Po-Han
authors.initials: PH
authors.lastname: Lo
authors.forename: Juo-Lan
authors.initials: JL
authors.lastname: Shen
authors.forename: Chun-Che
authors.initials: CC
authors.lastname: Shih
authors.forename: Wen-Kuei
authors.initials: WK
authors.lastname: Chang
authors.forename: Kwok-Hon
authors.initials: KH
authors.lastname: Chan
authors.forename: Pin-Tarng
authors.initials: PT
authors.lastname: Chen
mesh_terms: D000369:Aged, 80 and over; D000784:Aortic Dissection / Q000175:diagnosis / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D016122:Brachiocephalic Trunk / Q000601:surgery; D006801:Humans; D008297:Male; D010092:Oximetry / Q000379:methods*; D010100:Oxygen / Q000378:metabolism
chemical_list: D010100:Oxygen